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CENTRAL OKLAHOMA CHIROPRACTIC CLINIC INC
NPI 1174714877
Chiropractor in Tecumseh, OK

Active since August 07, 2007
602 N BROADWAY ST, TECUMSEH, OK 74873(405) 598-6768(405) 597-6770 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Central Oklahoma Chiropractic Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL OKLAHOMA CHIROPRACTIC CLINIC INC (NPI 1174714877) is a healthcare organization registered as a chiropractor in Tecumseh, Oklahoma and active in the NPI registry since August 2007. The organization lists Justin Ray Phillips, President, as its authorized official.

NPPES Registry Identity

NPI1174714877
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCENTRAL OKLAHOMA CHIROPRACTIC CLINIC INC
Location Address602 N BROADWAY STTecumseh, OK 74873-2020
Mailing Address602 N Broadway St, Po Box 589Tecumseh, OK 74873-2020 · (405) 598-6768 · Fax (405) 597-6770
Phone(405) 598-6768
Fax(405) 597-6770
Organization SubpartNo
Authorized OfficialJustin Ray PhillipsPresident · (405) 598-6768
Enumeration DateAugust 7, 2007
Last NPPES UpdateJuly 24, 2012
✔ NPI 1174714877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3465
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
602 N BROADWAY ST, Tecumseh, OK 74873
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Oklahoma Chiropractic Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Oklahoma Chiropractic Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Phillips, D.C.
Chiropractic
NPI 1295821874
602 N. BROADWAY
Teucumseh, OK 74873
(405) 598-6768
✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Oklahoma Chiropractic Clinic Inc's NPI number?

The NPI number for Central Oklahoma Chiropractic Clinic Inc is 1174714877. It was assigned to this organization in the NPPES registry on August 7, 2007.

Where is Central Oklahoma Chiropractic Clinic Inc located?

Central Oklahoma Chiropractic Clinic Inc is located at 602 N Broadway St, Tecumseh, OK 74873. The listed phone number is (405) 598-6768.

What is Central Oklahoma Chiropractic Clinic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Central Oklahoma Chiropractic Clinic Inc enrolled in Medicare?

Yes. Central Oklahoma Chiropractic Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Oklahoma Chiropractic Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Central Oklahoma Chiropractic Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Oklahoma Chiropractic Clinic Inc was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.